Rebecca Elisabeth Pennington, RN
Individual provider Active NPI Registered Nurse · Owingsville, KY
NPI 1972926103 · NPPES record last updated Nov 7, 2014
Key facts
- NPI
- 1972926103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1124967 (KY)
- Practice address
- 664 Slate Avenue
Owingsville, KY 40360 - Phone
- (606) 674-6690
- Fax
- (606) 674-6903
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1124967 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1124967 | KY | Yes |
Addresses
Primary practice location
664 Slate Avenue
Owingsville, KY 40360
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30610026 | Medicaid | KY |
Other providers in Owingsville, KY
- Shannon Nichols
- Amy Oesch
- Lauren Otis
- Owingsville Elementary
- P I C Corporation
- Sherri S. Pergrem
- Mary Petitt
- Brittany Phillips
- Amy Piccaluga
- Santana Pierce
All providers in Owingsville, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.